Isolated acute cellular rejection of the liver after simultaneous liver and kidney transplantation: a case report.
Simultaneous liver and kidney transplantation (SLKT) is now considered the treatment of choice for patients with concurrent end-stage liver and kidney diseases. Even though the early postoperative mortality rate following SLKT is reported to be high compared to that of liver transplantation alone, the liver graft from the same donor has been argued to induce better kidney graft acceptance as evidenced by a low rate of acute renal rejection episodes. There have been many reports of a low incidence of acute renal rejection following SLKT; however, only a few cases were proven by simultaneous biopsies. The authors experienced a case of biopsy-proven isolated acute cellular rejection of the liver graft following SLKT.
Nah
Y W
YW
Department of Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea. nahyw@uuh.ulsan.kr
Nam
C W
CW
Suh
J H
JH
Cha
H J
HJ
Kim
G Y
GY
Park
S J
SJ
Oh
Y
Y
Cho
H R
HR
D000208:Acute Disease; D001706:Biopsy; D006084:Graft Rejection / Q000175:diagnosis*; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use*; D007249:Inflammation; D016030:Kidney Transplantation / Q000276:immunology* / Q000473:pathology; D008102:Liver Circulation; D016031:Liver Transplantation / Q000276:immunology*; D008297:Male; D008776:Methylprednisolone Hemisuccinate / Q000627:therapeutic use*; D008875:Middle Aged; D016896:Treatment Outcome
D007166:Immunosuppressive Agents; D008776:Methylprednisolone Hemisuccinate